AR Specialist

RethinkBilling Overview
RethinkBilling is a division of RethinkFirst, a company founded in 2007 dedicated to providing scalable, evidence-based autism treatment training tools and caregiver supports to an underserved population. Since 2010, RethinkBilling has expanded its offerings to support the entire behavioral health community, including K-12 education, employer, provider, and payor sectors, and whole child wellness and success in education.

About the Role

The Accounts Receivable (AR) Specialist plays a crucial role in ensuring efficient and prompt reimbursement for therapy sessions for RethinkBilling's customers. This position involves working closely with insurance companies to resolve outstanding accounts receivable (A/R) and maintaining strict compliance with HIPAA regulations.

Job Duties

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Review customer account reports and follow up to address any flags or concerns proactively
• Follow up with insurance companies regarding expected reimbursement for outstanding claims
• Notate and document all follow-up work on aging claims within A/R Aging Reports as required
• Meet deadlines for completing A/R Aging Reports for each customer supported within the division
• Immediately follow up on denials and communicate any trends to the Customer Billing Advocate (CBA)
• Follow up on open A/R tickets in Salesforce as assigned by the CBA
• Meet deadlines assigned for A/R work as assigned by the CBA
• Utilize denial management platforms for submitting appeals, reconsideration requests, etc.
• Research specific payor billing rules as needed
• Submit corrected claims when needed
• Attend POD meetings and contribute to agenda items as designated by the CBA
• Post payments or submit missing payments to the posting team and maintain A/R as assigned
• File appeals to insurance and to insurance commissioner as needed
• Stay informed about payor and industry billing rules
• Review and interpret payor contracts when applicable
• Measure and monitor key metrics related to work performance
• Attend customer meetings as needed with the CBA
• Work to meet POD goals collectively as a cohesive team
• Foster a positive work environment for colleagues

Requirements

• High School Diploma or Equivalent
• Average of 1 year billing experience, preferably in major commercial insurance companies and state Medicaid programs
• Proficient in using Microsoft Suite (Outlook, Excel, Word)
• Willingness to learn and a positive attitude
• Exceptional attention to detail, critical thinking, and excellent communication skills

Preferred Qualifications

• Bachelor’s degree in relevant field (Speech, OT, Mental Health billing experience preferred)
• Minimum 1 year experience working in an office setting
• Minimum 1 year experience in billing company setting
• Experience using Billing Software, EMR, and Clearinghouse systems (Rethink, Azalea, Tebra, Central Reach, Waystar, Trizetto, Availity)
• Experience using denial management platform (DocVocate)

Education

• Bachelor’s degree preferred/ High School Diploma or Equivalent required

Benefits

• PTO and Vacation Days after a 90-day introductory period
• Paid Holidays
• Generous Health, Dental, Vision benefits package
• 401(k) + Matching

Job Type

• Full-time, Hourly, Monday-Friday (8-5 PM)
• Remote opportunities available in AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, NY, OH, PA, SC, TN, TX, UT, VA

Our Commitment

• RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination.